Individual
CALEB JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-0296
Mailing address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-0296
(978) 281-7631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
12/05/2017
Last updated
10/10/2022
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